45D1103872 CLIA NUMBER - LUBBOCK VASCULAR ACCESS CENTER

Laboratory Demographics

  • CLIA Code: 45D1103872
  • Facility Name: LUBBOCK VASCULAR ACCESS CENTER
  • Facility Address: 1126 SLIDE ROAD, SUITE 1
    LUBBOCK, TX
    ZIP 79416
  • Facility Phone: 806 792-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLARENCE J. WHEELER, MD
  • NPI Number: 1669909404
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1103872
LAB Type Physician Office
Facility Name LUBBOCK VASCULAR ACCESS CENTER
Street 1126 SLIDE ROAD, SUITE 1
City LUBBOCK
State TX
ZIP 79416
Phone 806 792-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2023
Certificate Expiration Date 8/19/2025
Facility Type Physician Office
Lab Director CLARENCE J. WHEELER, MD

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This page was last updated on: 3/20/2025